Anand Mohan Kumar

About Anand Mohan Kumar

I am a Healthcare Insurance Operations professional with 3+ years of experience in managing end-to-end claims processing and leading high-performing medical teams. Currently working as a Team Lead in the All India Corporate Division, I manage a team of 20+ doctors and overseecomplex corporate health claims across India. I specialize in improving operational efficiency, optimizing turnaround time (TAT), and ensuring high accuracy in claim adjudication. Key achievements include: Improved claim processing TAT by 95% through process optimization Maintained 99.98% accuracy in claims decision-making Trained and on boarded 50+ professionals across insurance processes and policies Managed high-value corporate claims with strong compliance and risk control I have strong expertise in: • Healthcare Operations & Claims Management • Insurance Policy Interpretation & Strategy • Audit, Compliance & Risk Assessment • Team Leadership & Training • Process Improvement & Stakeholder Management Currently pursuing MBA from Symbiosis Institute, Pune, and actively building skills in Data Analytics (Power BI, SQL) to transition into strategic roles in Healthcare, Insurance, or Consulting. Open to opportunities in: Healthcare Operations | Insurance Strategy | Analytics | Consulting

Experience

1. Team Lead - Corporate Cashless

   Care Insurance

   Mar 2024 — Present · Gurugram, IN

   Spearheaded the All-India Corporate Division, leading a team of 10 doctors specialized in cashless claims processing. • Delivered comprehensive onboarding training for over 50 individuals on company products, processes, and payer policies, effectively mentoring them to ensure job readiness. • Achieved a TAT improvement of 95% within six months by driving process optimization and fostering a high-performance culture. • Delivered exceptional results in claims resolution, maintaining a precision rate of 99.98% for all corporate claims. • Addressed customer inquiries effectively, achieving an error rate of less than 0.2% and in query resolution 96%. • Managed the end-to-end claims processing workflow, implementing strategic initiatives that significantly enhanced customer satisfaction while ensuring alignment with organizational objectives.

Education

• SYMBIOSIS INTERNATIONAL UNIVERSITY

  Master of Business Administration - MBA, MBA

• KIET Group of Institutions

  Bachelor of Pharmacy - BPharm, Medicine

  2018 — 2022

• University of Michigan

  Programming for Everybody, Computer Programming/Python

  2020